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Orbit and Neuro-ophthalmic Imaging, An Issue of Neuroimaging Clinics, E-Book

Orbit and Neuro-ophthalmic Imaging, An Issue of Neuroimaging Clinics, E-Book

Juan E. Gutierrez

(2015)

Abstract

Orbit and Neuro-ophthalmic Imaging is explored in this important Neuroimaging Clinics issue. Articles include: Imaging indication, protocols, anatomy, and pitfalls; Orbital ultrasonography and optical coherence tomography – what radiologists need to know; Advanced imaging techniques for the retina and visual pathway; Imaging of optic neuropathy and chiasmatic disorder; Imaging of post-chiasmatic disorder and higher cortical visual dysfunction; Imaging of diseases of the ocular motor pathway; Imaging of orbital trauma and emergent non-traumatic conditions; Imaging of ocular prosthesis and orbital reconstruction flaps; Imaging of pediatric ophthalmologic conditions; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Orbit and Neuro-ophthalmic\rImaging i
Copyright ii
Forthcoming Issues v
Contributors vii
Contents ix
Orbit and Neuro-ophthalmic\rImaging xiii
Orbit and Neuro-ophthalmic\rImaging xv
Diagnostic Ophthalmic Ultrasound for Radiologists 327
Key points 327
Basic principles 327
Basic examination technique 334
Quadrant Screening Examination 336
Clinical application 336
Clinical cases of the anterior segment 337
Clinical cases of the posterior segment 337
Clinical cases of the optic nerve 337
Clinical cases of the orbit 337
Summary 363
References 364
Optical Coherence Tomography for the Radiologist 367
Key points 367
Introduction 367
Normal anatomy through the macula and optic nerve with optical coherence tomography 369
Qualitative versus quantitative analysis of macula and optic nerve 370
Qualitative scans 370
Quantitative scans 370
Retina 370
Optic Nerve 371
Circumpapillary retinal nerve fiber layer analysis 371
Macula volume analysis 374
Optic nerve pathologies 374
Normal Retinal Nerve Fiber Layer 374
Decreased Retinal Nerve Fiber Layer 376
Increased Retinal Nerve Fiber Layer 378
Pitfalls of what appears to be a normal average retinal nerve fiber layer 380
Brief summary of how to use the optical coherence tomography to correlate with neuroimaging 380
Future considerations 381
References 381
Advanced MR Imaging of the Visual Pathway 383
Key points 383
Introduction 383
Retinal MR imaging 383
Optic nerve MR imaging 384
Diffusion-weighted imaging 384
Magnetization transfer contrast 386
High-resolution MR imaging of the lateral geniculate nucleus 387
Diffusion tensor imaging of the optic radiations 388
Characterization of visual association areas with functional MR imaging 389
Summary 391
Acknowledgments 391
References 391
Imaging of Optic Neuropathy and Chiasmal Syndromes 395
Key points 395
Introduction 395
Normal anatomy 395
Optic Nerve 395
Optic Chiasm 395
Imaging protocol 396
Computed Tomography Versus MR Imaging 396
MR Imaging Protocol 396
Pathology 396
Optic Neuropathy 396
Optic neuritis 396
Neuromyelitis optica (Devic disease) 397
Optic perineuritis 397
Ischemic optic neuropathy 397
Optic Nerve and Optic Nerve Sheath Neoplasms 398
Optic nerve gliomas 398
Optic nerve sheath meningiomas 398
Compressive optic neuropathy 399
Chiasmal Disorders 401
Pituitary macroadenomas 401
Pituitary apoplexy 402
Meningiomas 404
Aneurysms 405
Craniopharyngiomas 405
Chiasmal-hypothalamic gliomas 407
Summary 408
Acknowledgments 408
References 408
Imaging of Retrochiasmal and Higher Cortical Visual Disorders 411
Key points 411
Introduction 411
Normal anatomy 411
Optic Tract 411
Lateral Geniculate Nucleus 412
Optic Radiations 412
Striate Cortex 413
Visual Association Areas 413
Pathology 414
Optic Tract 414
Optic Tract Localization and Deep Brain Stimulation 415
Lateral Geniculate Nucleus 415
Optic Radiation 416
Striate Cortex 416
Higher Cortical Visual Disorders 416
Cerebral hemiachromatopsia 416
Prosopagnosia 418
Balint syndrome 419
Visual hemi-inattention 419
Pure alexia (alexia without agraphia) 419
Posterior cortical atrophy 419
Summary 422
Acknowledgments 422
References 422
Imaging of Ocular Motor Pathway 425
Key points 425
Introduction 425
Normal anatomy 425
Oculomotor Nerve (Cranial Nerve III) 425
Trochlear Nerve (Cranial Nerve IV) 426
Abducens Nerve (Cranial Nerve VI) 427
Horizontal Conjugate Gaze 427
Vertical Conjugate Gaze 427
Imaging technique and protocol 427
Pathology 427
Nuclear and Fascicular 427
Ischemia 428
Neoplasms 428
Multiple sclerosis 430
Infection 430
Wernicke encephalopathy 431
Cisternal and Dural 433
Microvascular ischemia 433
Neurovascular conflicts 433
Aneurysm 433
Infection and inflammation 433
Neoplasms 433
Interdural (Cavernous Sinus) and Foraminal (Superior Orbital Fissure) 435
Cavernous sinus thrombosis/thrombophlebitis 435
Tolosa-Hunt syndrome 436
Meningiomas 436
Summary 437
Acknowledgments 437
References 437
Imaging of Orbital Trauma and Emergent Non-traumatic Conditions 439
Key points 439
Introduction 439
Orbital skeletal trauma 440
Orbital Blowout Fracture 440
Superior Orbital Wall Fracture 440
Zygomaticomaxillary Complex Fracture 441
Naso-Orbitoethmoid Complex Fracture 441
LeFort Complex Fractures 442
Orbital Apex Fracture 442
Traumatic globe injury 443
Ocular Hemorrhage and Detachments 443
Traumatic Lens Injury 444
Open Globe Injury 446
Retrobulbar Soft Tissue Injury 446
Orbital Foreign Body 447
Nontraumatic orbital emergencies 450
Orbital Infection 450
Orbital Inflammatory Conditions 451
Ocular Infection/Inflammation 452
Vascular Orbital Emergencies 453
Summary 455
References 455
Imaging of the Postoperative Orbit 457
Key points 457
Introduction 457
Important anatomic and functional considerations 459
Globe 459
Orbit 459
Imaging protocols 459
Urgent postoperative complications and imaging pitfalls 461
Posttreatment imaging findings: normal and pathologic 462
Intraocular lens implants 462
Glaucoma shunting implants 463
Surgery for retinal detachment 465
Pneumatic Retinopexy 466
Scleral Buckling 466
Vitrectomy 469
Evisceration, enucleation, ocular implant, and eye prosthesis 469
Eyelid weights 470
Lacrimal gland dacryocystorhinostomy 470
Orbital decompression 470
Orbital wall reconstruction 472
Orbital exenteration 474
Summary 474
References 474
Imaging of Pediatric Orbital Diseases 477
Key points 477
Introduction 477
Normal anatomy 477
Imaging technique 479
Congenital and developmental anomalies 479
Anophthalmos and Microphthalmos 479
Cryptophthalmos 481
Anterior Segment Dysgenesis 481
Macrophthalmos 481
Congenital Cystic Eye 482
Coloboma 482
Morning Glory Disc Anomaly 483
Staphyloma 484
Hypertelorism, Hypotelorism, and Cyclopia 484
Large/Small Orbit 485
Optic Nerve Hypoplasia 485
Persistent Hyperplastic Primary Vitreous 485
Coats Disease 486
Retinopathy of Prematurity 486
Orbital and Ocular Abnormalities with Central Nervous System Malformations 487
Nasolacrimal Duct Cyst and Mucocele 487
Lacrimal Gland Anomalies 487
Congenital Cranial Dysinnervation Disorders 488
Orbital masses 489
Dermoid and Epidermoid 489
Vascular lesions 489
Lymphatic Malformation 489
Venous Malformation 491
Arteriovenous Malformation and Carotid Cavernous Fistula 491
Neoplasms 491
Orbital Neoplasms 492
Infantile hemangioma 492
Teratoma 492
Rhabdomyosarcoma 492
Langerhans cell histiocytosis 493
Leukemia 494
Lymphoma 494
Neuroblastoma metastases 496
Intraocular Neoplasms 496
Retinoblastoma 496
Medulloepithelioma 498
Optic pathway glioma 498
Papilledema and pseudopapilledema 498
Summary 499
References 499
Index 503